NPI | 1518010735 |
---|---|
Former Name | REBEKAH LEIGH DRIESSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MT 33034) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MT 30892) |
106H00000X Marriage & Family Therapist (Licence: CA 47593) | |
Enumeration Date | 2007-01-19 |
Last Update Date | 2022-08-10 |